The patients were admitted 3 days before the surgery. During this preoperative period, all patients underwent complete bowel preparation with polyethylene glycol solution (25 ml/kg over 4 h repeated twice a day), simple enemas with normal saline and antibiotics (oral metronidazole). The anorectal myomectomy was carried out under general anaesthesia with the patient in high lithotomy position. The Lone Star Retractor System® [Cooper Surgical, Inc. Nory, GE, Figure 1 ] was used and a standard posterior anorectal myomectomy was done starting 2 cm above the dentate line via smily incision. An adequate strip of muscle (minimum length of 2 cm) was removed in all patients [Figure 2 ]. The distal and proximal ends of the muscle strip were marked with catgut and polyglactin stitches respectively to aid in histopathological co-relation. The mucosal defect was closed with interrupted polyglactin stitches of appropriate size, and a lubricated, antibiotic-impregnated rectal pack was placed for 24 h. The patient was discharged once the child passed stools after pack removal.
Lone star retractor system
Manufactured by CooperSurgical
The Lone Star Retractor System is a surgical instrument used to retract and expose tissue during medical procedures. It provides a stable and adjustable platform for maintaining clear visibility and access to the surgical site.
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Lab products found in correlation
2 protocols using lone star retractor system
1
Detailed Anorectal Myomectomy Protocol
2
Vaginal Mesh Implantation in Rats
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First, general anesthesia was administered using Isoflurane. Then, cefazolin was given as pre-operative antibiotic prophylaxis. The rat’s vagina was then exposed using a Lone Star retractor system (Cooper Surgical). Hydrodissection was then carried out with the use of normal saline solution injected into the anterior vaginal wall, about 0.5–1.0cc in amount. For the Sham groups, the anterior vaginal wall was dissected laterally (Sham H), and a piece of square mesh measuring 0.5 × 0.5 cm was inserted into the space created (Sham MH). For the Study groups, the space between the vagina and bladder was dissected to open and enter the paravesical space (Study F). In addition, a polypropylene mesh was inserted into the space for the “Study MF”. The vaginal mucosa was then closed with Polyglactin 5-0 suture (Vicryl).
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